Documentation audits typically focus on: 1. Accuracy: Ensuring that all entries are correct and reflect the actual care provided. 2. Timeliness: Checking whether documentation is completed promptly. 3. Completeness: Verifying that all necessary information, such as patient history and treatment plans, is included. 4. Legibility: Ensuring that handwritten notes are readable. 5. Compliance with Policies: Checking adherence to institutional and regulatory guidelines.
